title: [Cognitive behavior therapy after first-episodes psychosis].
abstract: Cognitive behavior therapy (CBT) is recommended for the treatment of first-episode psychosis (FEP) patients. It can be offered in acute state or during the remission of the episode. Up to date, effects of CBT have been examined in several controlled and randomized trials in FEP. Combined with antipsychotic medications, results have demonstrated that CBT decreases positive psychotic symptoms, enhances quality of live, self-esteem and insight, and diminishes the intensity of comorbide symptoms, such as trauma or suicide behavior. CBT might be particularly efficient in individuals wishing to reintegrate premorbide functioning and those with low duration of untreated psychosis. Despite these encouraging results, psychosis orientated CBT are underused in France. The validation of group CBT specifically designed for FEP should enhance the range of patients receiving this treatment. Moreover, early CBT interventions for people at ultra high-risk for psychosis and assertive community treatments should be developed.
authors.affiliation: CHU de Caen, Équipe mobile de soins intensifs, Centre Esquirol, Caen, F-14000, France; CNRS, UMR 6301 ISTCT, ISTS group. GIP CYCERON, F-14074 Caen, France; CEA, DSV/I2BM, UMR 6301 ISTCT, F-14074 Caen, France; Université de Caen Basse-Normandie, UMR 6301 ISTCT, F-14074 Caen, France. Electronic address: lecardeur@cyceron.fr.
authors.forename: L
authors.initials: L
authors.lastname: Lecardeur
mesh_terms: D000208:Acute Disease; D014150:Antipsychotic Agents / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003156:Community Mental Health Services; D015897:Comorbidity; D005602:France; D006801:Humans; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life / Q000523:psychology; D016032:Randomized Controlled Trials as Topic; D012917:Social Adjustment
chemical_list: D014150:Antipsychotic Agents
keywords: Assertive community treatment; Cognitive behavior therapy; Coping strategies; Group therapy; Stratégies d’adaptation; Suivi intensif dans le milieu; Thérapies cognitives et comportementales; Thérapies de groupe